Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,376
Total Claims
$1.0M
Drug Cost
91
Beneficiaries
$11K
Cost/Patient
Risk Score Breakdown 47/100
Score components are additive. Read full methodology
Peer Comparison vs. 18,720 Cardiology providers
+635%
Cost per patient vs peers
$11K vs $1,524 avg
+41%
Brand preference vs peers
19.2% vs 13.7% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Cost per patient is 635% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
10.4%
Opioid Rate
560
Opioid Claims
$25K
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,024 claims · $870K
Generic: 4,315 claims · $149K
Patient Profile
69
Avg Age
65%
Female
2.09
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data